Provider Demographics
NPI:1760254940
Name:CHASE, BARBARA (LMFTA)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:
Last Name:CHASE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 1/2 E WALL ST APT 203
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06851-4862
Mailing Address - Country:US
Mailing Address - Phone:203-550-7325
Mailing Address - Fax:
Practice Address - Street 1:3 1/2 E WALL ST APT 203
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851-4862
Practice Address - Country:US
Practice Address - Phone:203-550-7325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT3229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist